ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019
Comparison of cervical sagittal parameters among patients with neck pain and healthy controls: a comparative cross-sectional study.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sagittal balance of the cervical spine: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Pooled it
- Comparison of Radiographic Cervical Sagittal Alignment Parameters in Patients With Nonspecific Neck Pain, Degenerative Neck Pain, and Healthy Individuals.Medical science monitor : international medical journal of experimental and clinical research · 2026Observational
- A cervical lordosis curvature decline in Chinese asymptomatic populations from 2016 to 2024: a comparative analysis.BMC musculoskeletal disorders · 2026Article
- Article
- The effect of cervical parameters on interlaminar epidural steroid injection treatment outcomes in patients with cervical disc herniation.Turkish journal of physical medicine and rehabilitation · 2025Article
- Cervical Sagittal Alignment and Balance Associated With Aging Chinese Adults: A Radiographic Analysis.Global spine journal · 2024Article
- Comparison of Cervical Sagittal Parameters among Patients with Neck Pain and Patients with Cervical Spondylotic Radiculopathy and Cervical Spondylotic Myelopathy.Orthopaedic surgery · 2024Article
- A Novel Intraoperative Posture-Adjustment Apparatus for Correction of Cervical Lordosis in Anterior Cervical Surgery.Orthopaedic surgery · 2023Article
- Is Complete Correction of Cervical Sagittal Malalignment Necessary During 4-Level Anterior Cervical Discectomy and Fusion Surgery in Patients With Kyphosis?Global spine journal · 2023Article
- Prevalence and risk factors of occupational neck pain in Chinese male fighter pilots: a cross-sectional study based on questionnaire and cervical sagittal alignment.Frontiers in public health · 2023Article
- Perioperative Chanage in Cervical Lordosis and Health-Related Quality-of-Life Outcomes.International journal of spine surgery · 2022Article
- Cervical Spine Fracture Prediction by Simple Plain X-Ray in Ankylosing Spondylitis Patients after Low-Energy Trauma.Orthopaedic surgery · 2022Article
- Clinical outcomes and revision rates following four-level anterior cervical discectomy and fusion.Scientific reports · 2022Review
- Cervical Alignment of Patients with Basilar Invagination: A Radiological Study.Orthopaedic surgery · 2022Article
- The Impact of Single-Level Anterior Cervical Discectomy and Fusion on Cervical Sagittal Parameters and Its Correlation With Pain and Functional Outcome of Patients With Neck Pain.International journal of spine surgery · 2021Article
- Article
- Physiologic Cervical Alignment Change between Cervical Spine X-ray and Computed Tomography.Journal of Korean Neurosurgical Society · 2021Article
- Novel assessment of the variation in cervical inter-vertebral motor control in a healthy pain-free population.Scientific reports · 2021Article
- Factors associated with postoperative axial symptom after expansive open-door laminoplasty: retrospective study using multivariable analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Article
- Impact of cervical sagittal parameters on axial neck pain in patients with cervical kyphosis.Journal of orthopaedic surgery and research · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPrevious studies have shown poor health-related outcomes among patients with spinal sagittal malalignment of the thoracolumbar or spinopelvic region, and less interest has been paid to the relationship between cervical sagittal balance and functional outcome of the patients. This study aims to compare the cervical sagittal parameters between patients with non-specific neck pain and asymptomatic controls.
methodTwenty-five patients (21 females/4 males) with non-specific neck pain and 25 age-, sex- and BMI-matched controls (18 females/7 males) participated in the study. Using a standard lateral cervical radiography, the Cobb angle between occiput-C2, C1-C2, C1-C7 and C2-C7 as well as the thoracic inlet angle (TIA) and C7 and T1 slope angles was measured. Also the spine cranial angle (SCA) and the C2-SVA (sacral vertical axis) and C1-SVA were measured. The primary outcome measure of the study was comparison of the sagittal balance variables between the patients and the healthy controls. Secondary outcome measures were correlation between pain intensity of the patients in neck pain group and their demographic and radiographic findings. Data analysis was performed using independent sample T test and Pearson's correlation for primary and secondary outcome measurements, respectively.
resultsThere was no difference in cervical lordosis curvature (measured by C2-C7 and C1-C7 lordosis angle) between patients with non-specific NP and healthy controls (P value = 0.45 and 0.37, respectively). We found that T1 slope angle was significantly (P value = 0.02) lower in patients with neck pain.
conclusionOur findings showed that the slope of the upper endplate of T1 vertebrae body (T1 slope) is significantly lower among patients with non-specific neck pain compared to controls. A compensatory mechanism to bring the center of head gravity back to the spinal axis might be the possible explanation for this difference. These slides can be retrieved under Electronic Supplementary Material.
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